Outsourced CFO for medical spa owners.
Weekly P&L by service line. Injectable COGS reconciled against Allergan and Galderma invoices. Device ROI by machine. A live dashboard. Built for medical spas, not adapted from a generic bookkeeper.
$499/month. First month free. No card until your first P&L arrives.
Your books tell you what you made. They do not tell you what you earned.
Allergan invoices in your email
Vendor invoices sit in your inbox. They never touch the P&L at the treatment level. Your neurotoxin gross margin reads 80 percent in QuickBooks. The real number is closer to 60.
Device lease buried in rent
The Morpheus8, CoolSculpting, or HALO payment lives in a single generic expense line. You cannot see which device is covering its lease and which one is quietly losing money.
Package revenue booked too early
Prepaid packages and memberships are recognized at collection. Your Q1 looks strong. Your Q2 looks soft. Both numbers are wrong until deferred revenue is separated from earned revenue.
What you get every week.
Delivered every Monday by noon. One location per subscription. Built on your existing QuickBooks Online or Xero file.
Weekly P&L by service line
Neurotoxins, fillers, laser, body, facials, and retail split out. Margin by category, not a single lump number.
Injectable COGS reconciliation
Allergan, Galderma, Merz, Evolus, and Revance invoices matched to treatment volume from Zenoti or AestheticsPro.
Device ROI tracking
Break-even utilization, cost per treatment, and a negative-equity flag for every financed device.
Provider profitability
Revenue per injector against the fully loaded cost of that provider, including consumables and room time.
Deferred revenue separation
Packages, memberships, and gift cards separated from earned revenue. Your P&L reflects services delivered, not cash collected.
MSO/PC two-entity handling
Management company and professional corporation each get their own books. Intercompany fees and consolidated reporting included.
Live dashboard
Labor percentage, device break-even, injectable margin, and cash position. Updated daily at spaledger.co/dashboard.
Monthly owner snapshot
One-page report on what changed this month, what to watch next month, and a specific observation about your practice. Not generic.
Two ways to pay. Same service.
Standard monthly
- Everything in the service
- One location
- First month free
- No card until your first P&L
Annual prepay
- Everything in the service
- One location
- First month free
- Prorated refund if you cancel
Additional locations: $499/month each. Multi-location consolidated reporting included at no extra cost.
Common questions.
How is this different from a bookkeeper?
A bookkeeper closes your books monthly and categorizes transactions. Spa Ledger produces a weekly P&L by service line, reconciles Allergan and Galderma invoices to actual treatment volume, tracks device break-even, and separates deferred package revenue. The bookkeeper gives you a backward-looking close. Spa Ledger gives you the CFO layer.
Do I need to switch accounting software?
No. Spa Ledger works inside your existing QuickBooks Online or Xero file. We add accountant access, build out the chart of accounts for med spa economics, and reconcile your POS (Zenoti, AestheticsPro, Mindbody, Boulevard) to your P&L. Your staff workflow does not change.
How long does onboarding take?
48 hours on our end once you grant accountant access to QBO or Xero. Your first weekly P&L lands within 7 to 10 days. Nothing changes on your side during onboarding. We pull historicals, set up the chart of accounts, and reconcile before the first delivery.
Do you handle MSO/PC two-entity structures?
Yes. The management services organization and professional corporation each get their own books and their own P&L. Intercompany fees, profit splits, and consolidated reporting are part of the standard scope. If your structure is non-standard, we confirm scope before onboarding.
What is included in the $499/month?
Weekly P&L by service line, injectable COGS reconciliation against vendor invoices, device ROI tracking per financed device, deferred revenue separation, provider profitability, a live dashboard, and a monthly owner snapshot report. One location per subscription. Additional locations are $499/month each.
Can I cancel?
Month to month. No cancellation fee. Annual prepay clients get a prorated refund of unused months.
Your first month is free.
No card until your first P&L arrives. Onboarding takes 48 hours on our end. Nothing changes on yours.
Reserve Your First Month